Filing · f0355

Oscar Health - Kansas

Oscar Health · Marketplace QHP · KS · 43490 · CY2025

This plan reported a 14.0% standard prior authorization denial rate for 2025, without publishing the underlying counts. The median for Marketplace QHP plans of comparable size is 18.3%. 2 checks flagged this filing.

Standard denial rate
14.0%
This filing published percentages without counts. 48.4% of appealed denials were overturned.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard 14.0%
Expedited 27.8%

This payer also printed its own standard denial rate: 14.0%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed
Denials overturned
Overturn rate48.4%

This filing publishes no appeal outcome. CMS-0057-F does not require one.

Turnaround
MeanMedian
Standard4.1 d1.9 d
Expedited24.0 h24.0 h
What the checks found
infoappeals_not_reported

no appeal outcome data published

infopercentages_only

filing publishes percentages without underlying counts; arithmetic cannot be verified